Individual
LESLIE A RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67-000124
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000232312
UNISON
OH
01
—
000000515974
ANTHEM
OH
01
—
0583328
BCMH
OH
05
—
2777642
—
OH
01
—
9209072
AETNA
OH
01
—
P00445362
RAILROAD MEDICARE
OH
Enumeration date
11/09/2006
Last updated
05/14/2008
Update your record
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